| NPI | 1447380811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. SPRINGBORN Owner 920-735-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 0570G) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 4049.015) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |